LAURA E. DAVIES
NPI: 1821334392
· RAPID CITY, SD 57702
· Dentist
· NPI assigned 01/02/2013
$132K
Total Medicaid Paid
Provider Details
| Authorized Official | DAVIES, LAURA (DENTIST) |
| NPI Enumeration Date | 01/02/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
299 |
$10K |
| 2019 |
78 |
$2K |
| 2022 |
261 |
$9K |
| 2023 |
1,085 |
$46K |
| 2024 |
1,236 |
$65K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
701 |
694 |
$42K |
| D0120 |
Periodic oral evaluation - established patient |
625 |
625 |
$22K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
394 |
375 |
$21K |
| D1206 |
Topical application of fluoride varnish |
560 |
552 |
$15K |
| D1351 |
Sealant - per tooth |
351 |
44 |
$14K |
| D0274 |
Bitewings - four radiographic images |
220 |
202 |
$9K |
| D0210 |
Intraoral - complete series of radiographic images |
46 |
46 |
$6K |
| D4910 |
|
12 |
12 |
$1K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
37 |
37 |
$539.16 |